Fee Slip Fee Slip Fee Slip

State Bank of India Pay-in-slip No. State Bank of India Pay-in-slip No. State Bank of India Pay-in-slip No.
*Bank Branch must fill Sr. No. 1 to 4 for *Bank Branch must fill Sr. No. 1 to 4 for *Bank Branch must fill Sr. No. 1 to 4 for
Reconcilation Reconcilation Reconcilation
1st Copy 2nd Copy 3rd Copy
Student Copy To be pasted on the ‘A1’ Form Bank Copy

Account No. 65009016757 Account No. 65009016757 Account No. 65009016757

Registrar Punjabi University, Patiala Registrar Punjabi University, Patiala Registrar Punjabi University, Patiala
(Department of Distance Education Fees etc.) (Department of Distance Education Fees etc.) (Department of Distance Education Fees etc.)

Name of the Branch __________________ Name of the Branch __________________ Name of the Branch __________________
_
Bank Code No. __________ Date________ Bank Code No. __________ Date________ Bank Code No. __________ Date________

* 1 Ref.No./Form No.__________________ * 1 Ref.No./Form No.__________________ * 1 Ref.No./Form No.__________________

* 2 Student's Name____________________ * 2 Student's Name____________________ * 2 Student's Name____________________

*
3 Class Name_______________________ * 3 Class Name_______________________ * 3 Class Name_______________________

* 4 Fee Amount Code (A) * 4 Fee Amount Code (A) * 4 Fee Amount Code (A)

Rs.________________________________ Rs.________________________________ Rs.________________________________

In words Rs._________________________ In words Rs._________________________ In words Rs._________________________

Signature of the Depositor Signature of the Depositor Signature of the Depositor

Mobile No........................................ Mobile No........................................ Mobile No........................................

Head Cashier Head Cashier Head Cashier

Signature of the Bank Officials Signature of the Bank Officials Signature of the Bank Officials
Stamp Stamp Stamp

All SBI Branches are allowed to collect All SBI Branches are allowed to collect All SBI Branches are allowed to collect
the fees of the fees of the fees of
Distance Educationin terms of Head Office circular Distance Educationin terms of Head Office circular No. Distance Educationin terms of Head Office circular No.
No. GB(P&SB)14 of 2006-2007 dated 14.06.2006. GB(P&SB)14 of 2006-2007 dated 14.06.2006. GB(P&SB)14 of 2006-2007 dated 14.06.2006.